Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rachael Virginia Johnson, PA-C

Individual provider Surgical Physician Assistant · NPI 1629581855

Rachael Virginia Johnson, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

811 S Paulina St
Chicago, IL 60612-4353
Phone: (312) 996-7745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1935 N Fairfield Ave Apt 310f, Chicago, IL 60647-7127 — (347) 432-0788

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006452 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085006452 (IL)

Record details

NPI number1629581855
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 9, 2017
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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